| Objective:Through access to residents’ health records, to the Aksu City Linyuan communities have managed 547 Uygur, Han survey conducted in patients with hypertension, physical examination, a detailed understanding of the basic situation of hypertensive patients under the management of the city’s community, and blood pressure control, factors and hypertension control rate of blood pressure levels in the different demographic characteristics of the distribution, for the development of the Han, Uygur-populated areas and provide scientific evidence of hypertension control strategies. Methods:Using stratified random cluster sampling, randomly selected one(Yingbazha street) in Aksu City, 7 street, and then select the street from the office of a randomly selected Han and Uygur relatively balanced community(Linyuan community), the registration and management of community health record 547 hypertensive patients carry Buyers health records, questionnaires, on-site blood pressure measurements.And uses Epidata3.1 creates the database, double entry, after error detection using SPSS19.0 software to carry out statistical analysis. Different factors of blood pressure control rates compared using χ2 test, comparison between the different factors that control the level of blood pressure analysis F test with independent sample T-test and ANOVA; univariate analysis does have a statistically significant factors included non-conditional binomial logistic regression analysis, that P<0.05 was considered statistically significant. Results:(1) In this 547 community management of hypertensive patients surveyed, 298 Han Chinese people, accounting for 54.5% of the total, 249 Uighur people, accounting for 45.5% of the total; 250 males in the study, accounting for 45.7% of the total, 297 women, accounting for 54.3% of the total; the average age of 65.61 years studied, secondary and higher education accounted for 60.6 percent. Which accounted for 22.5% of smoking; alcohol consumption accounted for 26.0%; participate in physical activity accounted for 52.47%. Wherein overweight, obesity accounted for 66.36%.(2) Factors Univariate analysis of blood pressure control rate: in 547 survey, blood pressure control rate was 31.07%. Uygur patients(36.54%) blood pressure control rate was significantly higher than the Han patients(26.51%), high school education in blood pressure control rates(36%) the highest, 35-45 years blood pressure control(47%) the best; in lifestyle, never smokers(35%) Never Drinking(33%) of blood pressure control rates were significantly higher; in the cognitive aspects of hypertension, hypertension diagnostic criteria of cognitive correct(47%) and hypertension treatment group(lifelong medication) Cognitive correct group(51%) was significantly better blood pressure control; regular medication prescribed blood pressure group blood pressure control rate(66%) the best.(3) Blood Pressure control factors non-conditional binomial logistic regression analysis: the impact of Han and Uygur Aksu City, the main factors of hypertension in patients with blood pressure control with national, BMI and regular medication situation. As can be seen from the OR values, higher than the Han Chinese Uighur blood pressure control; accompanied by rising body mass index, blood pressure control rate decreased; regular medication situation better, blood pressure control, the better.(4) Blood Pressure is not controlled BASIC group: The study included 547 Han, Uygur hypertensive patients, 377 people with uncontrolled blood pressure, blood pressure control rate was 68.92 percent did not. Which alone SBP(systolic) was 54.37% uncontrolled; significantly higher than DBP(diastolic) uncontrolled rate(9.01%). And systolic blood pressure levels Han(144.85 ± 5.892) higher than Uighur(147.60 ± 12.511), diastolic blood pressure(DBP) levels Han(84.63 ± 6.663) lower than Uighur(90.26 ± 12.927), pulse pressure(PP) Han(60.22 ± 10.348) higher than Uighur(57.34 ± 13.213). Conclusion:Control high blood pressure in patients with hypertension Aksu community norms in the same area under the management of the natural disease state in patients with hypertension, but hypertension and the eastern part of the standardized management of the community is still a wide gap. In terms of blood pressure control rate is lower than the Han Uygur, and blood pressure control is not satisfactory mainly simple SBP(systolic pressure) is not reached. To carry out standardized management of hypertension in a multi-ethnic region, we must fully understand the differences between different ethnic groups, targeted to carry out management. |
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